Provider Demographics
NPI:1962474320
Name:EICKHOFF, ROBIN (MD)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:EICKHOFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7622 LOUIS PASTEUR DR
Mailing Address - Street 2:STE 100
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4037
Mailing Address - Country:US
Mailing Address - Phone:210-614-7840
Mailing Address - Fax:210-614-6421
Practice Address - Street 1:7622 LOUIS PASTEUR DR
Practice Address - Street 2:STE 100
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4037
Practice Address - Country:US
Practice Address - Phone:210-614-7840
Practice Address - Fax:210-614-6421
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2016-10-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ8528207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8G9081OtherWELLMED MEDICARE
TX141680209OtherWELLMED MEDICAID
H30500Medicare UPIN